Organization
MAINE BEHAVIORAL HEALTH ORGANIZATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON WHITE PHD (CEO)
(207) 542-4301
Entity
Organization
Contact information
Practice address
49 OAK ST, AUGUSTA, ME 04330-5118
(207) 458-4642
Mailing address
49 OAK ST, AUGUSTA, ME 04330-5118
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
CAC5599
ME
Other
Enumeration date
04/28/2017
Last updated
04/28/2017
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